Unknown Individual – Specialist, NPI 1619955184

Unknown Individual is a healthcare provider. based in Grand prairie, Texas. specializing in Specialist. The NPI Number for Unknown Individual is 1619955184

Main info

Organization
Inactive
64 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1619955184
Phone
(972) 339-0990
Address
517 N CARRIER PKWY
Deactivation Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1962 (64 years ago)
PAC ID
0042128985
Professional Enrollment ID
I20100204000747
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 517, North Carrier Parkway, Grand Prairie, Dallas County, Texas, 75050, United States

    SUITE A

    GRAND PRAIRIE, TX 750505484

    Phone: (972) 339-0990

    Fax: (817) 460-6183

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes15577$0
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow14673$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a7057$0
99443Telephone medical discussion with physician, 21-30 minutes3231$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1716$0
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Insurance plans in this area (ZIP 75050)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1619955184?
NPI 1619955184 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Other Service Providers. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Grand Prairie?
Public fields place Unknown Individual around Grand Prairie, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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